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1841450012
TARA RUSSO
NEW YORK, NY
NPI
1841450012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 334685)
Enumeration Date
2008-06-11
Last Update Date
2008-06-11
Business Address
Ms. TARA RUSSO NP
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-639-6660
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Mailing Address
Ms. TARA RUSSO NP
1275 YORK AVE
NEW YORK, NY 10065-6007
Phone number: 212-639-6660
Copy
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